NPI | 1326577990 |
---|---|
Doing Business As | ROYAL LANE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | SANG PARK Managing Member 469-904-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-12-12 |